SCI 2 Flashcards
C5 SCI at risk of developing
elbow flexion contracture
will C6 require assistance for secretion clearnaace
they may
for tenodesis grip do not __ in combination with __
wrist extention
finger extension
goals for c6
independent transfers
seat lifts
ADL training tenodesis grip
sport
outcome measures to assess change
MMT
ASIA
FIM
SCIM
does c7/8 require assistance to clear secretion
may
c7/8
ind bed mobility, transfers, manual w/c
hand function at c7?
through tenodesis grip
fine skills are a challenge
Pt goals c7/8
increase hand function
transfers
t1-6 SCI
bed ind, transfer ind
possible ambulation with KFO at T6 and lower
secretion clearance assistance T1-6
maybe
possible ambulation with KFO at __ and below
t6
t/f T1-6 may need power mobility
depending on endurance and shoulder / MSK function
PT for t1-6
transfer, ADL
brace walking with KFO
T7-12
no control at hips
some assist with KFO / crutches
secretion clearance for t7-12
resp intact
L1-S5
ambulation ind to some asset with gait aid
functional outcomes L1-S5
likely a complete lesion, could have mixed presentation
conus terminated at
l1/2
cauda equina has ___
flaccid bowel/bladder , loss of sex in males
outcome measures for ambulation
5 min walker
10 meter walk
TUF
mini BESTest
categories when thinking of what happens at each level
secretions bed mobility / ADL transfers manual w/c standing ambulation
post traumatic syringomyelia
cyst with CSF in SC
develops slow over time, significant changes
signs of PTS
changes of function pain at level of syrinx sensory changes motor weakenss inc spasticity./ AD
PTS treatment
medication
moniter
surgery
t/f spasticity is velocity ind
no - dependent
benefits of spasticity
mm bulk, circulation, transfered
erection
warning signal
negative aspects of spasticity
contracture pain disrupted sleep fatigue skin breakdown
leading cause of SCI death
cardioresp
how long to reposiion
every 15 min for 2 min
